Scott Aaron Jackson, M.S., CCC-SLP

Speech-Language Pathologist · Fairfield, CA

Individual Active NPI

NPI number 1356494934

Practice location

755 Fallen Leaf Ct
Fairfield, CA 94534-4038
Phone
(707) 646-4150

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NPI record

NPI
1356494934
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
April 16, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 10401 CA

About Scott Jackson

Scott Aaron Jackson, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 755 Fallen Leaf Ct, Fairfield, CA 94534-4038. The NPI number 1356494934 was assigned on January 18, 2007 and the record was last updated on April 16, 2014.

Scott Jackson lists a license in the registry: #10401 (CA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Aaron Jackson, M.S., CCC-SLP?

The NPI number is 1356494934.

What is the phone number of Scott Jackson?

The phone number listed for the practice location is (707) 646-4150.

Where is Scott Jackson located?

755 Fallen Leaf Ct, Fairfield, CA 94534-4038.

What is the taxonomy code for Scott Jackson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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